| Ithaca Dentistry, Pllc | |
|
310 E Court Street (downstairs) Ithaca NY 14850-4221 | |
| (607) 272-2033 | |
| (607) 272-3757 |
| Full Name | Ithaca Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 310 E Court Street (downstairs), Ithaca, New York |
| Authorized Official Name and Position | Elizabeth Billiot (OWNER) |
| Authorized Official Contact | 2032336979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ithaca Dentistry, Pllc 310 E Court Street (downstairs) Ithaca NY 14850-4221 Ph: (607) 272-2033 | Ithaca Dentistry, Pllc 310 E Court Street (downstairs) Ithaca NY 14850-4221 Ph: (607) 272-2033 |
| NPI Number | 1912775396 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912775396 | NPI | - | NPPES |
| 03869101 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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